Name Change Petition (Minor) - Grant County

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THE DISTRICT COURT OF WASHINGTON
FOR THE COUNTY OF GRANT
No.
In the Matter of the Change of Name of:
___________________________________________________
(Legally Print or Type the Minors Full Name Here)
PETTION FOR NAME CHANGE
(MINOR)
Petitioner
By_________________________________________________
Parent or Legal Guardian
I am petitioning for a court order that will change the name of my child or ward name from:
____________________________________________________________________________________
First:
Middle:
Last:
to
____________________________________________________________________________________
:First
Middle:
Last:
2. My minor’s birth date is: ______________________________________________________________
3. My minor’s father’s name is: __________________________________________________________
4. My minor’s mother’s maiden name is: __________ ________________________________________
5. I reside in Grant County, Washington at __________________________________________________
____________________________________________________________________________________
(Please list both street address and mailing address)
GCDC Name Change Petition (Minor)
January 2011

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